Assessment:

Objective: Sudden weight loss

Decreased urine output
(+) dry skin
(+) dry mucous membranes
Muscle weakness

Diagnosis: Deficit fluid volume r/t fluid loss to subcutatneous tissue

Planning: After 8 hours of duty, no signs of dehydration will be noted

Intervention:
Weight px regularly
`
Monitor intake and output. Note urine color, and measure specific gravity as indicated

Monitor Blood pressure and Pulse Rate

Check on dietary intake of proteins and calories

Place px on strict regimen of bedrest; encourage lateral position

Increase fluid intake as needed

Encourage to avoid food that cause dehydration such as coffee and tea

Monitor serum uric acid and creatinine levels, and BUN.

Administer platelets as indicated

Rationale:
Changes in weight provide information in fluid imbalance and the adequacy of fluid volume
replacement

1.040 indicates severe hypovolemia and kidney involvement. Note: Administration of MgSO4
may cause transient increase increase in output

These changes of v/s are associated with fluid volume loss and/or hypovelemia

Proper nutrition decreases incidence of prenatal hypovolemia and hypoperfusion. Intake of 80

100 g of protein may be required daily to replace losses.

This enhances placental and renal perfusion, reduces adrenal activity, and may lower BP

Fluid replacement treats hypovolemia, yet must be given cautiously to prevent overload

To prevent further dehydration

 Elevated levels, especially of uric acid, indicate impaired kidney function, worsening of
maternal condition, and poor fetal outcome

Patients with HELLP syndrome awaiting delivery of the fetus may benefit from transfusion of
platelets when count is below 20,000